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상안면부 골절에 관한 방사선학적 비교 연구
A Comparative Study Of Rad10Graphic Imagings In Patients With Maxillofacial Fractures

치과방사선 1995년 25권 2호 p.545 ~ 553

홍성우, 김병직,

소속 상세정보

홍성우 ( ) - 전북대학교 의과대학 이비인후과학교실
김병직 ( ) - 전북대학교 치과대학 구강악안면방사선학

KMID : 0378219950250020545

Abstract

본 연구는 1988년 1월부터 1995년 8월까지 전북대학교병원에 내원한 Le Fort 골절환자
58명을 대상으로 성별, 연령별, 원인별 발생빈도를 조사하였으며, 일반방사선사진상과 전산
화단층사진상을 비교, 평가하여 다음과 같은 결과를 얻었다.
1. Le Fort 골절은 20-30대에 많이 발생하였으나, 연령별로 통계학적 유의성은 인정되지
않았다. 또한 여자보다 남자에서 5.5배 더 많이 나타났고, 발생원인은 교통사고(69%), 폭력
(14%), 낙상(12%) 순이었다.
2. Le Fort Ⅰ, Ⅱ, Ⅲ골절이 각각 49.3%, 41.3%, 9.4%를 보였고, 8.6%는 정중시상분리골
절을 나타내었다.
3. Le Fort 골절에서 상악동벽의 불연속성과 혼탁상은 Waters사진에서 잘 관찰할 수 있
었으며, 후전방두부방사선사진에서는 다른 구조와의 중첩으로 골절을 인지하기는 어려웠으
나 혼탁상은 때때로 관찰할 수 있었다.
4. Le Fort골절에서 안와부, 상악동 벽, 비골 그리고 익상판의 골절은 일반방사선사진보다
전산화단층사진에서 잘 관찰되었다.
#초록#
The subjects of this study consisted of 58 patients with Le Fort fractures, who were
admitted to Chonbuk National University Hospital from Jan. 1988 to Oct. 1995. The
author classified the maxillofacial fractures by Le Fort classification and examined the
incidence of Le Fort fractures by age, sex and etiology.
The purpose of this study was to compare the imagings of conventional radiograms
with those of computed tomograms and to aid in the diagnosis of patients with Le Fort
fractures.
The obtained results were as follows:
1. The Le Fort fractures occurred mainly in 3rd and 4th decades, but there was no
significant difference between decades. A ratio of men to women was 5.5 : 1 The major
etiologic factors were traffic accident(69%), assault(14%) and fall-down(12%).
2. The most Common type of Le Fort fracture was type I(49.3%). The numbers of Le
Fort Ⅱ, Ⅲ fractures were 41.3%, 9.4% respectively, And 8.6% were midsagittal splitting
fractures
3. The discontinuity and haziness of the maxillary sinus were easily detected by
Waters' view. In skull P/A view, it was difficult to observe fractures due to overlapping
of the other structures, but the haziness of the maxillary sinus was sometimes observed.
4. In Le Fort fracture, the fracture pattern of orbit, the wall o) maxillary sinus, nasal
bone and pterygoid plate were more easily detected in computed tomograms than in
conventional radiograms.